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首页> 外文期刊>manuelle medizin >Minimally invasive surgery in total hip arthroplasty. A functional advantage?
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Minimally invasive surgery in total hip arthroplasty. A functional advantage?

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Total hip arthroplasty is one of the most successful operations in orthopedic surgery. Traditional implants and surgical techniques have achieved life spans of 95 and more after 10 years. Nevertheless, repeated attempts have been made to obtain further improvements. Robot-guided procedures, computer navigation, new implants, and recently techniques for minimally invasive implantation have found favor. The robot-guided procedures have already been abandoned. Navigation of acetabular and shaft implants is still subject to controversy due to the necessity of performing preoperative computed tomography and the considerable acquisition costs. The available minimized implants (surface replacement) are in part associated with more extensive injury caused by the approach than with conventional implants or prostheses with short shafts. The most substantial advantage provided by minimally invasive hip surgery for total hip arthroplasty is seen in the lower degree of injury caused by the approach and the resultant earlier mobilization of the patients. This advantage is essentially related to preservation of the myofascialstructures. The following article describes the different methods for total hip arthroplasty with special focus on the approach and the myofascial structures affected. Furthermore, this paper is intended to enable personnel involved in aftercare to recognize which myofascial structures after which surgical procedures can be accessed for manual therapy and which cannot.

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